title: Unusual case of prosthetic shoulder joint infection due to Clostridium difficile.
abstract: Extraintestinal manifestatation such as prosthetic joint infection due to Clostridium difficile is a rare diagnosis. A 47-year-old female patient presented with chronic pain in left shoulder prosthetic joint. Plain roentgenogram of left shoulder prosthetic joint revealed anterior dislocation and loosening of prosthesis. The synovial fluid cultures and intraoperative deep joint cultures repeatedly grew Clostridium difficile. Patient was treated with antimicrobial therapy and surgical debridement with complete removal of hardware and revision arthroplasty.
authors.affiliation: Division of Infectious Diseases (SR, JKM), Scott and White Memorial Hospital, Temple, Texas.
authors.forename: Sangeetha
authors.initials: S
authors.lastname: Ranganath
authors.forename: John K
authors.initials: JK
authors.lastname: Midturi
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D019643:Arthroplasty, Replacement; D016360:Clostridioides difficile / Q000302:isolation & purification*; D003646:Debridement; D004761:Enterocolitis, Pseudomembranous / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007595:Joint Prosthesis / Q000382:microbiology*; D008875:Middle Aged; D011475:Prosthesis Failure / Q000209:etiology; D016459:Prosthesis-Related Infections / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D012086:Reoperation; D012783:Shoulder Dislocation / Q000209:etiology; D012785:Shoulder Joint / Q000382:microbiology*; D013582:Synovial Fluid / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D000890:Anti-Infective Agents